After a year of cathing, had GL laser sugery 5 weeks ago. After 4 weeks of blood in urine, it stopped, flow became great and now a week later I have frequent urges but weak stream, pain, infection and for the 1st time last night had to get up. Retention is occuring. Three weak voids in an hour. Taking oxybutynin for a week, no change. Feels like the crisis that put all this in motion 12 months ago. PVP patients, please advise.
Had Greenlight surgery 5 weeks ago. Very good for a while, now relapsing to original condition.Anyon
I had Green Laser procedure in March and had an accute retention event two days later that took me to the ER/ED to have Foley put back in. If it's sore in the perineum area, that swelling is constricting on the uretha. Seems to be common with GL procedure. If you have caths on hand, I assume you Doc will be fine with your self cathing as needed.
Fascinating......but not in a good way. I feel for you.
No doubt nobody warned you of the possibility before-hand?
Reminds me of when I had a simple cystoscopic investigation six months after having a heart stent. I was still on Clopidogrel at the time. Nobody asked nor warned that if you bled, it would not stop for days......Almost all cystoscope exams have some amount of bleeding. I certainly learned how obtuse the NHS can be. This was 5 years ago, and I notice that today, the patient guide preceding a cystoscopy or colonoscopy or indeed anything that might cause internal bleeding are full of dire warnings about stopping at least a fortnight before any blood thinners, anti-platelet meds, even aspirin.....
Hi John,
My Uro says Geen Light is not good since it sprays laser energy in a broad area that is difficult to precisely position. Contact Resolve laser is more focused and requires touching the area.
I am going into surgery in two weeks with contact resolv method, and the Uro tells all nice things so far. Will see after it goes.
Thanks, Glen. I'm not sure that my doc would be OK with a self cath - if the tissues have not fully recovered, sticking something in there might be risky. In addition I still have an infection, and I'm not clear what part that is playing in the problem and what effect, if any, cathing might have. Retention: I know about how much I normally void - tomorrow I'm going to count every single cc over the 15+ voids I expect and see what it all amounts to.*Two days ago had a sonogram; showed 290 cc before void and 85 after. That seemed kind of OK, but not sustainable. I live on the Big Island Hawaii and have to fly to Oahu for treatment - tho a hospital here could put in a Foley. I'd hoped to have seen the last of that. I'm going to resume Flomax and heavy hydration.
I suspect my GL procedure 6 months ago is the reason for my high level incontinence still today.
Why do you think that?
John so sorry that it did not work Maybe you shoud have done moe looking and got mor information Ken
Problem identified: prostate swollen by infection. Back to self-cath until swelling has subsided. Feeling positive again.
Thanks
On my first visit after GL, my doctor came in and remarked that he thought the GL might had been too powerful for me, and that he had thought about saying "no" to my request to use GL for the procedure, rather than traditional cutting to open a channel through the median lobe. (I told him that I would have been OK with "no."
Later, I asked it there had been any injury to the external and bladder mouth sphincters, and he said there hadn't.
Glad to hear that
John, I had Greenlight Laser 12 years ago. It helped somewhat, but I still had to take medication to help with the flow. Eventually, the retention came back, maybe two years after the surgery, and so I went and did a turp. The turp, was better for my flow...eventually even that wasn't working and so I did a secong turp, which is where I am today. My retention, is not good and so I am now self-cathing. Self-cathing, really helps with my being able to enpty the bladder!
Hi Dennis,
Why does it keep recurring? What do the Uro say?
For some, the prostate, keeps on growing. I am one of the unfortunate ones.
Sorry for your problem. I must be one of the lucky ones. I had a urolift done april 2015 Had 4 implants. My prostate got smaller. Had to have the implants tighting My urologist things it was the cispro 1000g for a month Had a prostate infection cause by one of the implant getting loose Take care Ken
Nice to hear it's working for you! Take care.
Well, feeling negative again! Half-way through a 10 day course of levofloxacin (a very scary med, I've learned - and I am prone to tendon problems) - results so far good in regard to urgency problems, cathing almost nothing during the day and before bed, but then 300-400 cc in morning - even after two voidings (150-200 cc total). Cathing very painful. Some clots, which in my imagination are perhaps scabs being worn off, as my systerm clearly isn't as fond of cathing as it used to be. Temporary pain level 9.
Assuming that the UTI is swelling something in there - what happens to a UTI that can't be killed? Apparently, even series of PVPs and Turps do not always fix the problem. I guess in that case you live with cathing? I'm trying to run this out, to prepare for my urinary future. Even though I can sleep through, perhaps I need to be getting up once or twice in the night to void if I can. Actually, this sounds a lot like most older men (I'm 70). I'll stop with that happy thought. Thanks for all the suggestions, empathy - keep the coming. John
You will think that when you have something done it's suppose to help you not keep on having procedures years after years. I am sorry for you. I will put you on my prayer list...Things have to change Ken
I hope so. Thanks for praying for me. I really appreciate it.
Dennis - I see my surgeon tomorrow.
About a week ago, the regular voiding (that had worked somewhat) got plugged - had 800 taken out. Kept self-cathing w.a lot of pain. Had my 3rd foley put in, and within 3 days it got plugged again - blood clot - so my doctor pulled it. My decision. Stream good for one day; then the same old story. I drank tons of water today to see if my bladder/pvp'd prostate could handle it. The answer seems to be no; slipping back in retention again. Yet I've heard very little about turp success - is there significant success and it just doesn't get written about?
I think my uro tomorrow might put my fourth foley in. I don't know whether to go for a turp, or give up and just self-cath - though it is painful (no infection tho). I wish you well.